Katie Wilson
Nurse Practitioner - Gerontology
1900 E Main St
Danville
, Illinois 61832-5100
Katie Wilson
Nurse Practitioner - Gerontology
1900 E Main St
Danville
, Illinois 61832-5100
(217) 554-4364
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Katie Wilson
- 1900 E Main St
- Danville, IL
- Zip : 61832-5100
- Phone : (217) 554-4364
Second Address
- Katie Wilson
- 1900 E Main St
- Danville, IL
- Zip : 61832-5100
- Phone : (217) 554-4364
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FAQs
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In what state does Katie Wilson practice in?
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Is Katie Wilson a sole practitioner?
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Does Katie Wilson have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 209.016522 | IL |
National Provider Identifier
| NPI | 1073031100 |
|---|---|
| Provider Name | Katie Wilson |
| First Address | Danville, IL 61832-5100 |
| Second Address | Danville, IL 61832-5100 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/09/2017 |
| Last Update Date | 05/03/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.